Provider Demographics
NPI:1477763043
Name:LENAKER, ROBIN PAUL JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:PAUL
Last Name:LENAKER
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13706 W BELL RD
Mailing Address - Street 2:STE 2
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374
Mailing Address - Country:US
Mailing Address - Phone:623-584-9910
Mailing Address - Fax:623-584-9940
Practice Address - Street 1:2025 N PEBBLECREEK PKWY
Practice Address - Street 2:SUITE A-11
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395
Practice Address - Country:US
Practice Address - Phone:623-214-9979
Practice Address - Fax:623-935-0774
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ71231223G0001X
AZD7123122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice